Abstract
A previously well 62-year-old male from North Queensland presented with leptospirosis featuring fever, renal failure, hepatitis and pulmonary haemorrhage. Management was greatly complicated by severe and previously unrecognized aortic stenosis with a peak valve gradient of 125 mmHg. A successful outcome followed careful haemodynamic management and treatment of the infective illness with subsequent valve replacement.
MeSH terms
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Aortic Valve
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Aortic Valve Stenosis / complications*
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Aortic Valve Stenosis / diagnostic imaging
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Aortic Valve Stenosis / surgery
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Diagnosis, Differential
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Fever / complications
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Heart Valve Prosthesis Implantation
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Humans
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Leptospirosis / complications*
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Leptospirosis / diagnosis
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Leptospirosis / drug therapy
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Leptospirosis / physiopathology
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Male
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Middle Aged
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Penicillin G / therapeutic use
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Penicillins / therapeutic use
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Queensland
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Renal Insufficiency / complications
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Ultrasonography